Adult Medicaid - Eligibility Team Lead
About this role
What You'll Be Doing
We are seeking a knowledgeable and supportive Adult Medicaid Eligibility Team Lead to support our Private Living Medicaid Recertification and SSI unit. This role provides direct leadership, guidance, and quality oversight to staff while maintaining a strong focus on policy accuracy, case management excellence, and effective collaboration with internal and external partners.
Key Responsibilities
- Provide timely responses to staff policy questions and handle inquiries from the general public and facility representatives.
- Prepare and deliver mini-trainings to support staff development and reinforce Medicaid policy and procedural updates.
- Meet regularly with new or developing staff to review work, monitor progress, and provide ongoing mentoring.
- Maintain case action and case management responsibilities for vacant caseloads and in instances where staff are absent, on sick leave, or out on extended leave.
- Conduct quality reviews of staff casework to ensure accuracy and compliance.
- Build and maintain strong working relationships with area facilities, attorneys, and other external partners.
- Serve as a local hearing officer for Adult Medicaid cases as needed.
- Engage with families and caregivers, providing information, direction, and assistance regarding services and program needs.
- Evaluate team workloads regularly and recommend organizational or procedural changes to improve efficiency.
- Interpret policy for staff and coordinate with the state for clarification when necessary.
- Review employee casework routinely to maintain high-quality standards.
- Support SSI team members with troubleshooting tasks, SDX exceptions, and case-related task management.
- Assist with daily updates and oversight of the SSI assignment spreadsheet.
- Pull, review, and work various operational reports to support team performance and compliance.
About Our Team
The Wake County Department of Social Services team is grounded in a deep commitment to connection, compassion, and community. We bring together experienced professionals who collaborate to support individuals and families through complex challenges, connect them with critical resources, and promote long-term stability. We value insight, innovation, and a solutions-focused approach, and we welcome those who are ready to contribute their expertise to meaningful, community-centered work. Join us in making a lasting difference!
The Basics (Required Education and Experience)
- Associate's degree in Human Services or a related field
- Two years of job-related experience
- Equivalent education and experience are accepted
- Please include ALL prior work experience on your application and resume.
Beyond the Basics (Preferred Education and Experience)
- Two or more years of case manager experience in Adult Medicaid. Experience working in NCFast. Troubleshooting. Basic knowledge of SSI policy.
How Will We Know You're 'The One'?
- Ability to provide guidance and feedback to help employees strengthen their knowledge, skills and abilities and improve job performance
- Expertise in planning and supporting the development of others
- Ability to create a work environment that encourages staff to practice respect, demonstrate open communication and promote accountability
- Expertise in building and maintaining ongoing, collaborative, working relationships with coworkers to achieve the goals of the work unit
- Ability to convey information clearly and concisely both verbally and in writing to ensure that listener understands the information and the message
- Ability to listen and respond appropriately to others
- Ability to be relied upon to ensure that projects within areas of responsibility are completed in a timely manner
- Expertise in providing guidance and feedback to help an employee or groups of employees strengthen their knowledge, skills and abilities to accomplish a task or solve a problem, which in turn should improve job performance
- Ability to multitask
- Proficient in Adult Medicaid policy, NCFAST and NCFAST troubleshooting, and Excel
About This Position
Location: HSC Swinburne Raleigh, NC 27610
Employment Type: Regular
Work Schedule: Monday - Friday 8:15 am-5:15 pm
Hiring Range: 26.82 - 32.79
Market Range: 26.82 - 38.76
Please include ALL prior work experience on your application and resume.
Posting Closing Date: 7:00 pm on 9/30/2026
What Makes Wake Great
Equal Opportunity Statement
Background Check Statement
Emergency Service Worker Statement
What Makes Wake Great
Consistently ranked high among the best places to live and work in America, Wake County is the proud home to NC State University, Research Triangle Park, and the two-time Stanley Cup Champion Carolina Hurricanes, winners in 2006 and 2026. In addition to being Wake County’s seat of government, Raleigh is also the center of state government, with the Capitol Building, legislature and many state government offices located in Raleigh. With an estimated population of just over 1.2 million residents, Wake County is North Carolina’s most populous county. Entertainment, recreation, and art and culture abound with the North Carolina Museum of Art, JC Raulston Arboretum, and the Neuse River Trail all in the heart of Wake County. Wake County uses the Council/Manager form of government. Currently, the seven members of the Board of Commissioners are elected by district on a partisan basis and serve four-year terms. Starting in fall 2026, the Wake County Board will have seven commissioners elected by voters in their districts and two at-large commissioners elected by the whole County. The County is regarded as a fiscally responsible and well-managed government, enjoying a AAA bond rating. The County’s FY2027 General Fund budget is approximately $2.28 billion, and the County has more than 5,000 full time employees. Wake County Government came in at #2 on the Healthiest Employers list for 2024. This year, US News & World Report ranked Raleigh #5 on its list of Best Places to Live, and the Milken Institute ranked Raleigh #1 on its 2025 list of Best-Performing Cities.
Equal Opportunity Statement
Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.
Background Check Statement
Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.
Emergency Service Worker Statement
In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.
Company at a glance
Wake County Government provides services including tax collection, library services, local parks administration, planning and permitting, health and human services, law enforcement and more. Wake County is governed by a seven-member Board of Commissioners.
Consistently rated as one of the best places to live and work in America, Wake County, North Carolina is home to NC State University, Shaw University, Research Triangle Park, and 2006 Stanley Cup Champions, the Carolina Hurricanes. Wake County is also the center of state government, with our Capitol Building, legislature and many government offices located in Raleigh.
Wake County is the most populous County in North Carolina. The County consists of 12 municipalities and includes Raleigh, the county seat and state capital. A unique mix of urban and rural small towns distinguishes Wake County from other counties and provides something for every lifestyle.
Tired of cold applications?
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Know someone who'd be great for this?